Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $12,882.50	Facility		$1,148.15	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,951.21	Professional		$1,348.96	$1,698.24	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,897.79 / $9,120.11	Facility		$2,691.53	$4,897.79	$9,120.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,548.82 / $1,584.89	Facility		$79.43	$1,548.82	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,162.28	Professional		$1,659.59	$2,089.30	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $33,884.42 / $33,884.42	Facility		$12,302.69	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $15,135.61 / $15,135.61	Professional		$12,882.50	$15,135.61	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $5,248.07	Facility		$1,348.96	$2,041.74	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,884.03	Professional		$1,479.11	$2,089.30	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,412.54	Professional		$32.36	$33.11	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,884.03	Facility		$1,513.56	$1,905.46	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,235.94	Professional		$1,659.59	$2,187.76	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,630.27	Professional		$1,380.38	$1,862.09	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56